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Duhan Plastic Surgery Clinic · 두한성형외과 DUHANISM · April 9, 2020
Wrinkles # Wrinkle Correction # Wrinkle Correction Procedure # Wrinkle Correction Surgery # Wrinkle Treatment # Wrinkle Removal # Wrinkle Removal Procedure # Wrinkle Removal Surger...
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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.
Clinic: Duhan Plastic Surgery Clinic
Original post date: April 9, 2020
Translated at: April 25, 2026 at 6:30 AM
Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.
What is Endotine lifting?
It is a procedure that is mainly effective for sagging facial skin and deep expression lines.
Endotine is a device made of a dissolvable soft plastic material. It has stronger lifting power than thread lifting, so it can correct various areas of the face.
It can be applied to areas where conventional thread lifting could not be used, such as the forehead, brow lift, and upper cheeks, and its long-term effect is maintained.
What are the indications for Endotine lifting?
① Drooping eyebrows (brow ptosis)
② Deep forehead wrinkles
③ A narrow forehead
④ Sagging side cheeks
⑤ Deep cheek wrinkles
⑥ Sagging neck fat
As people age and reach their 30s and 40s, skin aging accelerates.
The eyelids droop, and wrinkles appear on the forehead.
Wrinkles make a person look tired and lacking vitality, and wrinkles between the eyebrows can make the face look angry rather than pleasant.
Deep forehead wrinkles can make you look stuffy and older.
Endotine lifting is a surgery used for forehead wrinkles, drooping eyelids, eyebrows, and the midface, and because it is performed through an incision inside the scalp, the surgical marks are barely visible.
Recovery is also fast, and return to daily life is quick.
The Endotine fixation plate is made of an absorbable material, and its tip has a protruding shape that secures and lifts the skin.
Because it is absorbable, it is absorbed into the human body over time, so it is known as a relatively simple and comparatively safe procedure compared with other treatments.
Endotine received FDA approval in 2003, so its safety has already been verified. It is currently gaining explosive popularity, mainly in the United States.
The procedure is performed under sedation anesthesia, and because an endoscope is used, there are fewer incisions and less concern about pain and swelling.
What types of Endotine are used for lifting?
Endotine is a biocompatible wrinkle plastic surgery material approved by the U.S. FDA.
It is currently used in 30 countries and is a widely adopted lifting material that was approved for import into Korea a long time ago.
Unlike non-absorbable thread lifting, it has the characteristic of dissolving and disappearing after one year, so there are almost no side effects or foreign-body reactions. In addition, even after Endotine dissolves, the lifting effect remains for about 5 to 10 years.
Endotine lifting to improve cheek sagging~
| 01. Design is marked on the temple and cheek areas. |
|---|
| 02. Local anesthesia and sedation anesthesia are administered. |
| 03. A horizontal incision of about 2 cm is made in the temple area. |
| 04. Dissection is performed above the periosteal layer. |
| 05. An endoscope is used to check for bleeding in the dissected area. |
| 06. Endotine is inserted and pulled into position. |
| 07. Endotine is fixed and sutured to the fascia. |
| 08. The scalp is closed. |
| 09. Elastic tape is applied. |
What is the procedure for endoscopic Endotine lifting for cheek sagging?
The area to be incised is designed, and the position and length for Endotine insertion are measured.
Sedation anesthesia and local anesthesia are administered.
Because sedation anesthesia is used together, there is no pain at all.
The incision is small and located in the scalp, so no scar or hair loss occurs.
After the incision, dissection is performed above the fascia with blunt-ended scissors without bleeding.
After dissection, an endoscope is used to check the exact dissection and any bleeding.
After dissection, Endotine is inserted to lift the sagging cheeks.
Endotine is firmly fixed to the fascia, and the scalp is sutured.
Elastic tape is applied to prevent swelling and sagging.
The tape is removed after 2 to 3 days, and hair washing is possible 4 days after surgery.
The stitches are removed after 7 days.
Examples of Endotine lifting for cheek fat
Endotine lifting to improve forehead wrinkles~
What is the Endotine procedure for improving forehead wrinkles?
| 01. The incision area on the scalp is designed. |
|---|
| 02. Local anesthesia and sedation anesthesia are administered. |
| 03. A vertical incision of about 2 cm is made. |
| 04. Dissection is performed above the periosteum. |
| 05. The corrugator muscles are dissected using an endoscope. |
| 06. The corrugator muscles are removed while avoiding the supraorbital and supratrochlear nerves. |
| 07. Grooves are made where Endotine will be fixed. |
| 08. Endotine is fixed in place. |
| 09. The frontalis muscle flap is pulled and hooked onto the Endotine. |
| 09. The skin is sutured and the forehead is bandaged. |
What is the procedure for Endotine to improve forehead wrinkles?
Design is marked on the incision area, and sedation anesthesia and local anesthesia are administered.
Because sedation anesthesia is used together, there is no pain at all.
The incision is small and located in the scalp, so no scar or hair loss occurs on the forehead.
After the incision, dissection is performed above the periosteum to lift the frontalis muscle.
Using an endoscope, the corrugator muscle that creates glabellar wrinkles is located and removed.
The corrugator muscle is the muscle that causes wrinkles between the eyebrows, and removing it helps eliminate glabellar wrinkles.
When removing the corrugator muscle, it is important to carefully dissect the supraorbital and supratrochlear nerves to avoid nerve damage.
Grooves are made with an instrument where Endotine will be fixed, and then it is secured.
After fixation, the frontalis muscle flap is pulled up as much as possible to anchor it to Endotine.
The scalp is sutured and the forehead is bandaged.
The bandage is removed after 2 to 3 days, and hair washing is possible 4 days after surgery.
The stitches are removed after 7 days.
Examples of Endotine lifting applied to the forehead
Endotine lifting for eyebrow lifting ~
What is the Endotine procedure for eyebrow lifting?
| 01. Since it is usually performed together with upper blepharoplasty, the brow bone is exposed by dissection through the upper eyelid incision. |
|---|
| 02. Dissection is performed above the eyebrow to prepare for lifting the eyebrow upward. |
| 03. Grooves for Endotine fixation are made in the brow bone by drilling. |
| 04. After the grooves are made, the handpiece Endotine is attached and fixed into the grooves. |
| 05. The brow flap is lifted onto the inserted Endotine and hooked in place. |
| 06. The incision is sutured. |
| 07. Taping is applied. |
| 08. The stitches are removed after 4 to 5 days. |
Endotine lifting to improve upper cheek sagging ~
What is the Endotine procedure for improving upper cheek sagging?
| 01. Local anesthesia is administered to the eye area and upper cheek. |
|---|
| 02. A horizontal incision of about 1 cm is made. If combined with lower blepharoplasty, dissection is performed through the lower eyelid incision. Dissection is performed above the periosteum. |
| 03. After dissection, Endotine is inserted. |
| 04. The subcutaneous tissue is hooked onto the inserted Endotine. |
| 05. Grooves are made to fix Endotine. |
| 06. Screws are inserted with a handpiece to secure Endotine. |
| 07. The skin is sutured and taped. |
| 08. The stitches are removed after 4 to 5 days. |
What are the advantages of Endotine lifting?
| ♥ Minimal incision and no scars. |
|---|
| ♥ Stronger lifting effect than thread lifting, and it lasts longer. |
| ♥ Compared with non-dissolving thread lifting, Endotine dissolves and disappears, so there is no foreign-body reaction. |
| ♥ Even after Endotine dissolves, the effect continues once the tissue has been repositioned. |
| ♥ Return to daily life is quick after the procedure. |
How long do the effects of Endotine lifting last?
The biggest advantage of Endotine is that it is a soft material, so there is no foreign-body sensation, and because it dissolves after one year, there are no side effects caused by foreign-body reactions.
It also provides a strong pulling effect, and the lifting effect remains even after Endotine dissolves and disappears.
The duration varies from person to person, but it lasts about 5 to 10 years.
What are the side effects of Endotine lifting?
The effect of Endotine is determined by precise dissection within the effective radius and the degree of pulling.
Dissection must be performed accurately above the fascia, and the fascia must be firmly fixed. However, if the fascia is dissected incorrectly, facial nerve damage may occur, so it is better not to undergo the procedure from someone with limited experience or from a non-specialist in plastic surgery.
What are the risks of Endotine lifting?
Every year, countless men and women undergo endoscopic surgery, and there have been no side effects at all.
Material of Endotine: bioabsorbable - absorbed within 1 year
Although extremely rare, even if a problem does occur, it is relatively minor, and it is best to consult the attending physician about any side effects that occur individually.
If you fully understand and follow the instructions and recommendations you receive before and after surgery, you can reduce any potential risks.
Features and advantages of Endotine lifting
| Existing surgery | Comparison | Endotine lifting |
|---|---|---|
| Less than 1 year | Duration | 5 years or more |
| 10~25 cm | Incision size | 2 cm |
| Required | Removal surgery | Not required |
| High risk | Nerve damage | Almost none |
| 4 hours | Surgery time | 40~50 minutes |
| Hair loss along the incision site | Hair loss | Almost none |
| Lacking volume and looking unnatural | Change in face | Voluminous and natural |
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